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NCLEX Review & Nursing School

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  1. THE COLOSTOMY CLUB

Lets take a quick review again on colostomy and what we might encounter on the NCLEX exam.

A colostomy is a surgical procedure that involves a formation of a stoma.
TYPES OF BOWEL SURGERY

  • – Illeostomy
  • – Colectomy
  • – Loop Colostomy
  • – Double Barrel Colostomy

Colectomy
– excision of the right or left colon

* Types of Ostomy depends on patient’s condition and disease.

  • Colostomy types are related to the place on the colon where the surgery is done.
  • The location of the surgery depends on your health condition and the reason you need to have a colostomy.
  • Ascending colostomy: This colostomy has a stoma (opening) that is located on the right side of the abdomen. The output (stool) that drains from this stoma is in liquid form.
  • Transverse colostomy: This colostomy has a stoma that is located in the upper abdomen towards the middle or right side. The output that drains from this stoma may be loose or soft.
  • Descending or sigmoid colostomy: This colostomy has a stoma that is located on the lower left side of the abdomen. The output that drains from this stoma is firm.

Illeostomy:
opening in the ileum to form the stoma.

Preo-op Interventions:
Teaching and Demonstration of post drainage and cleaning

Post- Op Interventions:
Assess for return peristalsis
Inspect surgical dressing

Pelvic Pouch/ Ileo-Anal Pull-Through/ J Pouch, S Pouch or W Pouch –

  • – does not require an external stoma and bag and only certain people are candidates for it
  • – is constructed from the small intestine

Ileal Conduit

  • is the most common permanent type of Urostomy.
  • Complete surgical removal of the bladder is performed, usually, in place of the bladder, a segment of small bowel is used to transfer urine directly from the kidneys and ureters through a stoma on the skin and into an external collection bag.

 

Stuff to remember for the NCLEX:

Kock Pouch- A colectomy in the ileum with a nipple valve that helps control stool and flatus.

Penrose Drain- An abdominal drain with a single lumen and drains through capillary action.

Jackson- Pratt- A resovoir connected to the drainage tubing. (Can be compressed to form negative pressure.)

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